Surgical treatment of purulent pericarditis in children

Rj, Morgan; Lw, Stephenson; Pk, Woolf; Rn, Edie; Lh, Edmunds

doi:10.1016/s0022-5223(19)37536-1

Cited by 40 publications

(11 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is supported by one of the patients who presented with extensive pyomyositis. Staphylococcus aureus is the most commonly identified pathogen as in our study, though other organisms as nontypeable H. influenzae (NTHi) and Streptococcus pneumoniae have been isolated [ 19 – 21 ].…”

Section: Discussionmentioning

confidence: 99%

“…They were more likely to present with echocardiographic findings of thickened pericardium. Studies have also that a high risk of constriction has been observed in cases of purulent pericarditis, tubercular pericarditis, and radiation pericarditis [ 21 , 27 , 28 ]. Late pericardial constriction has also been noted in a patient with idiopathic pericardial effusion [ 24 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Surgical Management of Massive Pericardial Effusion and Predictors for Development of Constrictive Pericarditis in a Resource Limited Setting

Kesieme

Okokhere

Iruolagbe

et al. 2016

Advances in Medicine

View full text Add to dashboard Cite

Background. The diagnosis and treatment of massive pericardial effusion and cardiac tamponade have evolved over the years with a tendency towards a more comprehensive diagnostic workup and less traumatic intervention. Method. We reviewed and analysed the data of 32 consecutive patients who underwent surgery on account of massive pericardial effusion and cardiac tamponade in a semiurban university hospital in Nigeria from February 2010 to February 2016. Results. The majority of patients (34.4%) were between 31 and 40 years. Fourteen patients (43.8%) presented with clinical and echocardiographic feature of cardiac tamponade. The majority of patients (59.4%) presented with haemorrhagic pericardial effusion and the average volume of fluid drained intraoperatively was 846 mL ± 67 mL. Pericardium was thickened in 50% of cases. Subxiphoid pericardiostomy was performed under local anaesthesia in 28 cases. No postoperative recurrence was observed; however 5 patients developed features of constrictive pericarditis. The relationship between pericardial thickness and development of pericardial constriction was statistically significant (p = 0.004). Conclusion. Subxiphoid pericardiostomy is a very effective way of treating massive pericardial effusion. Removing tube after adequate drainage (50 mL/day) and treatment of primary pathology are key to preventing recurrence. There is also a need to follow up patients to detect pericardial constriction especially those with thickened pericardium.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Surgical Management of Massive Pericardial Effusion and Predictors for Development of Constrictive Pericarditis in a Resource Limited Setting

Kesieme

Okokhere

Iruolagbe

et al. 2016

Advances in Medicine

View full text Add to dashboard Cite

show abstract

“…2 When it causes tamponade it is frequently indistinguishable from other conditions causing cardiac decompensation. It is mandatory to make an early diagnosis and treat patients with pericardial drainage and antibiotiCs.2 4 5 Pericardiocentesis can provide adequate drainage if the fluid is thin enough to flow through a needle or percutaneously placed catheter. A pericardiostomy often provides Vigneswaran, Hardie, Campbell Ferguson, Faichney satisfactory drainage.…”

Section: Discussionmentioning

confidence: 99%

Cardiac tamponade due to Lancefield group A beta haemolytic streptococcal pericarditis.

Vigneswaran¹,

Hardie²,

Ferguson³

et al. 1985

Thorax

View full text Add to dashboard Cite

“…This was flushed intermittently each hour with 1 ml of heparin in an effort to prevent plugging. It has been suggested by Morgan et al (1983) and more recently by Lock et al (1984) that PC can be successful. Failures were due to the effusion becoming loculated and/or too thick.…”

Section: Discussionmentioning

confidence: 99%

Purulent meningococcal pericarditis: Chronic percutaneous drainage with a modified catheter aided by echocardiography

Biancaniello¹,

Anagnostopoulos²,

Bernstein³

et al. 1985

Clinical Cardiology

View full text Add to dashboard Cite

Summary: A 7-month-old infant presented with suspected sepsis. On the third day of illness signs of cardiac tamponade developed. Tamponade was relieved by pericardiocentesis, and countercurrent immunoelectrophoresis (CIE) analysis of the fluid was positive for meningococcus group B. Antibiotic treatment was changed to penicillin G. After echocardiography demonstrated reaccumulation of fluid, a modified #16 gauge angiocatheter was placed percutaneously in the pericardial space. When drainage slowed it was repositioned using two-dimensional echocardiography. After 24 h the catheter was removed and no further accumulation occurred. The antibiotics were continued an additional 10 days and the infant recovered uneventfully. Modification of the catheter and echographic repositioning may decrease the need for surgical drainage in such patients.

show abstract

Surgical treatment of purulent pericarditis in children

Cited by 40 publications

References 12 publications

Surgical Management of Massive Pericardial Effusion and Predictors for Development of Constrictive Pericarditis in a Resource Limited Setting

Surgical Management of Massive Pericardial Effusion and Predictors for Development of Constrictive Pericarditis in a Resource Limited Setting

Cardiac tamponade due to Lancefield group A beta haemolytic streptococcal pericarditis.

Purulent meningococcal pericarditis: Chronic percutaneous drainage with a modified catheter aided by echocardiography

Contact Info

Product

Resources

About